# CARRILLO URBINA & GARCIA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255527461
- **Authorized official:** MIGUEL GARCIA PA-C (ADMINISTRATOR/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (909) 434-0808

## Contact information

- **Practice address:** 16980 FOOTHILL BLVD STE E, FONTANA, CA 92335-3569
- **Practice address phone:** (909) 434-0616
- **Mailing address:** 16980 FOOTHILL BLVD STE E, FONTANA, CA 92335-3569
- **Mailing address phone:** (909) 434-0616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A71133 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 05/17/2024